EP3173075A1 - Préparation pharmaceutique combinée constituée d'un inhibiteur ace et diurétique de l'anse - Google Patents

Préparation pharmaceutique combinée constituée d'un inhibiteur ace et diurétique de l'anse Download PDF

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Publication number
EP3173075A1
EP3173075A1 EP15003387.6A EP15003387A EP3173075A1 EP 3173075 A1 EP3173075 A1 EP 3173075A1 EP 15003387 A EP15003387 A EP 15003387A EP 3173075 A1 EP3173075 A1 EP 3173075A1
Authority
EP
European Patent Office
Prior art keywords
torasemide
lisinopril
pharmaceutical combination
combination preparation
preparation according
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP15003387.6A
Other languages
German (de)
English (en)
Other versions
EP3173075B1 (fr
Inventor
Wojciech Szymon Lagiewka
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Accupharma Spolka Z Ograniczona Odpowiedzialnoscia
Original Assignee
Accupharma Spolka Z Ograniczona Odpowiedzialnoscia
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Publication date
Application filed by Accupharma Spolka Z Ograniczona Odpowiedzialnoscia filed Critical Accupharma Spolka Z Ograniczona Odpowiedzialnoscia
Priority to LTEP15003387.6T priority Critical patent/LT3173075T/lt
Priority to ES15003387T priority patent/ES2703376T3/es
Priority to EP15003387.6A priority patent/EP3173075B1/fr
Priority to SI201530541T priority patent/SI3173075T1/sl
Priority to DK15003387.6T priority patent/DK3173075T3/en
Priority to PL15003387T priority patent/PL3173075T3/pl
Publication of EP3173075A1 publication Critical patent/EP3173075A1/fr
Application granted granted Critical
Publication of EP3173075B1 publication Critical patent/EP3173075B1/fr
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2022Organic macromolecular compounds
    • A61K9/205Polysaccharides, e.g. alginate, gums; Cyclodextrin
    • A61K9/2054Cellulose; Cellulose derivatives, e.g. hydroxypropyl methylcellulose
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
    • A61K31/401Proline; Derivatives thereof, e.g. captopril
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/64Sulfonylureas, e.g. glibenclamide, tolbutamide, chlorpropamide
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2013Organic compounds, e.g. phospholipids, fats
    • A61K9/2018Sugars, or sugar alcohols, e.g. lactose, mannitol; Derivatives thereof, e.g. polysorbates
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/2004Excipients; Inactive ingredients
    • A61K9/2022Organic macromolecular compounds
    • A61K9/205Polysaccharides, e.g. alginate, gums; Cyclodextrin
    • A61K9/2059Starch, including chemically or physically modified derivatives; Amylose; Amylopectin; Dextrin

Definitions

  • the present invention relates to combination preparation of ACE inhibitor lisinopril and loop diuretic torasemide and pharmaceutical use therof.
  • Lisinopril one of ACE inhibitors, is primarily used in treatment of hypertension, congestive heart failure, heart attacks and in preventing renal and retinal complications of diabetes.
  • Lisinopril is the lysine-analog of enalapril.
  • lisinopril is not a prodrug and is excreted unchanged in the urine. In cases of overdosage, it can be removed from circulation by dialysis.
  • Lisinopril belongs to BCS class III, which means that the drug substance has high solubility, but absorption is limited by the permeation rate.
  • ACE inhibitors have a hypotensive effect in combination with loop diuretics, such as furosemide and piretanid, in low dosage.
  • Lisinopril can be used in conjunction with the diuretic hydrochlorothiazide and drugs that combine these two medications are commercially available.
  • Torasemide is a pyridine-sulfonyl urea type loop diuretic mainly used in the management of edema associated with congestive heart failure. It is also used at low doses for the management of hypertension. Compared with other loop diuretics, torasemide has a more prolonged diuretic effect than equipotent doses of furosemide and relatively decreased potassium loss.
  • Torasemide has been classified as BCS class I drug (high solubility and high permeability) up to a maximum dose of 40 mg. Solubility of torasemide is pH dependent and the lowest solubility is observed between pH 4 and pH 6.
  • solubility of torasemide depends on the manufacturing parameters, polymorphic form, particle size and shape. Therefore not all forms of torasemide are appropriate for the preparation of rapidly dissolving formulation.
  • Lisinopril as an active substance and while is present in a commercial lisinopril preparation dissolves well. However, if lisinopril and torasemide were combined together in one preparation and the same excipients as for the known preparations of torasemide and lisinopril were used, much lower dissolution profile was observed.
  • Dissolution profiles for the tablets prepared in comparative example 1 were significantly lower in comparison with each commercial tablet preparation containing single active substances, torasemide or lisinopril respectively. Changing of the proportion between calcium hydrogen phosphate and mannitol caused sticking of the tablet mass to punches and compression of the tablets was not possible.
  • the object of the present invention is to provide rapidly dissolving preparation of torasemide and lisinopril combination product. More specifically, the invention relates to the composition comprising torasemide modification I, lisinopril dihydrate, microcrystalline cellulose, starch, mannitol and glidant, e.g. magnesium stearate.
  • composition may contain other active ingredients and excipients.
  • the composition according to the present invention has a form of tablet, manufactured by direct compression.
  • a form of tablet manufactured by direct compression.
  • at least 85% of torasemide and at least 85% of lisinopril is dissolved in 15 minutes in phosphate buffer of pH 4.5 using paddle apparatus at 75 rpm at 37.0 ⁇ 0.5°C.
  • Dissolution studies presented in the present invention were performed using buffer solutions described in European Pharmacopoeia 8.0, i.e. acetate buffer pH 4.5 and phosphate buffer pH 6.8 using methodology described in European Pharmacopoeia 8.0 chapter 2.9.3 "Dissolution test for solid dosage forms" in apparatus 2 (paddle apparatus). 500 ml of the medium in each testing vessel was used. Content of the active substances torasemide and lisinopril was evaluated using validated HPLC method using UV/VIS detector. Percent dissolution was calculated as an average value from 6 replicate dissolution experiments.
  • the composition according to the present invention has a form of tablet, manufactured by direct compression and more than 85% of the lisinopril and more than 85% of torasemide is dissolved in 15 minutes in phosphate buffer of pH 6.8 using paddle apparatus at 75 rpm at 37.0 ⁇ 0.5°C.
  • particle size distribution of torasemide is represented by d(0.5) from 20 ⁇ m to 80 ⁇ m and d(0.9) below 100 ⁇ m, which means that 50% of torasemide particles by volume have diameter from 20 ⁇ m to 80 ⁇ m and 90% of torasemide particles have diameter below 100 ⁇ m.
  • Particle size distribution data are usually reported as cumulative undersize distribution.
  • the symbol d is used to denote the particle size, which in turn is defined as the diameter of a volume-equivalent sphere.
  • d(0.5) denotes the volume fraction undersize at the particle size d.
  • the particle sizes at the undersize values of 10%, 50% and 90% are frequently used.
  • Particle size value d(0.5) is also known as the median particle size.
  • Particle size of torasemide was measured using laser diffraction method described in European Pharmacopoeia 8.0 chapter 2.9.31 "Particle size analysis by laser light diffraction” using Mastersizer 2000 apparatus with Hydro 2000 S sample dispersion unit .
  • particle size distribution of torasemide is represented by d(0.5) from 50 ⁇ m to 80 ⁇ m and d(0.9) below 100 ⁇ m.
  • Torasemide shows polymorphism and several crystal modifications of torasemide are known ( Acta Cryst., 1978, pp. 2659-2662 and Acta Cryst., 1978, pp. 1304-1310 ).
  • torasemide refers to torasemide modification I, which x-ray powder diffraction pattern corresponds to the pattern of modification I, as depicted in WO 2004/089904 A2 .
  • Torasemide crystal modification I is stable and does not convert to other crystals forms.
  • the tablet according to the present invention comprises lisinopril and torasemide in pharmaceutically effective amounts.
  • Content of each active substance refers to anhydrous substance, unless otherwise specified.
  • one tablet contains 10 mg of lisinopril and 10 mg of torasemide as the active substances.
  • one tablet contains 20 mg of lisinopril and 10 mg of torasemide as the active substances.
  • one tablet contains 10 mg of lisinopril and 5 mg of torasemide as the active substances.
  • one tablet contains 20 mg of lisinopril and 5 mg of torasemide as the active substances.
  • One tablet contained 20 mg of lisinopril and 10 mg of torasemide and had a total weight of 450 mg.
  • Tablet weight was 210 mg and content of lisinopril and torasemide in one tablet was 10 mg and 5 mg respectively Dissolution profile of the obtained tablets were tested using paddle apparatus and phosphate buffer of pH 6.8 at 75 rpm and 37.0 ⁇ 0.5°C. Only 69% of torasemide and 77% of lisinopril were dissolved in 15 minutes.

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  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Medicinal Preparation (AREA)
EP15003387.6A 2015-11-27 2015-11-27 Préparation pharmaceutique combinée constituée d'un inhibiteur ace et diurétique de l'anse Active EP3173075B1 (fr)

Priority Applications (6)

Application Number Priority Date Filing Date Title
LTEP15003387.6T LT3173075T (lt) 2015-11-27 2015-11-27 Ace inhibitoriaus ir kilpinio diuretiko farmacinė kompozicija
ES15003387T ES2703376T3 (es) 2015-11-27 2015-11-27 Preparación de combinación farmacéutica de inhibidor de ACE y diurético de bucle
EP15003387.6A EP3173075B1 (fr) 2015-11-27 2015-11-27 Préparation pharmaceutique combinée constituée d'un inhibiteur ace et diurétique de l'anse
SI201530541T SI3173075T1 (sl) 2015-11-27 2015-11-27 Farmacevtski kombinacijski pripravek inhibitorja ACE in diuretika zanke
DK15003387.6T DK3173075T3 (en) 2015-11-27 2015-11-27 PHARMACEUTICAL COMBINATION PREPARATION OF ACE INHIBITOR AND LOOPDIURETIC
PL15003387T PL3173075T3 (pl) 2015-11-27 2015-11-27 Farmaceutyczny preparat złożony inhibitora ACE i diuretyku pętlowego

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
EP15003387.6A EP3173075B1 (fr) 2015-11-27 2015-11-27 Préparation pharmaceutique combinée constituée d'un inhibiteur ace et diurétique de l'anse

Publications (2)

Publication Number Publication Date
EP3173075A1 true EP3173075A1 (fr) 2017-05-31
EP3173075B1 EP3173075B1 (fr) 2018-09-26

Family

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Family Applications (1)

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EP15003387.6A Active EP3173075B1 (fr) 2015-11-27 2015-11-27 Préparation pharmaceutique combinée constituée d'un inhibiteur ace et diurétique de l'anse

Country Status (6)

Country Link
EP (1) EP3173075B1 (fr)
DK (1) DK3173075T3 (fr)
ES (1) ES2703376T3 (fr)
LT (1) LT3173075T (fr)
PL (1) PL3173075T3 (fr)
SI (1) SI3173075T1 (fr)

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0215357A2 (fr) 1985-09-09 1987-03-25 Hoechst Aktiengesellschaft Préparation pharmaceutique pour le traitement de l'hypertension
US4822807A (en) * 1985-08-17 1989-04-18 Boehringer Mannheim Gmbh Pharmaceutical composition containing a stable modification of torasemide
WO2004089904A2 (fr) 2003-04-07 2004-10-21 Torcan Chemical Ltd. Preparation de torasemide

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4822807A (en) * 1985-08-17 1989-04-18 Boehringer Mannheim Gmbh Pharmaceutical composition containing a stable modification of torasemide
EP0215357A2 (fr) 1985-09-09 1987-03-25 Hoechst Aktiengesellschaft Préparation pharmaceutique pour le traitement de l'hypertension
WO2004089904A2 (fr) 2003-04-07 2004-10-21 Torcan Chemical Ltd. Preparation de torasemide

Non-Patent Citations (5)

* Cited by examiner, † Cited by third party
Title
ACTA CRYST., 1978, pages 1304 - 1310
ACTA CRYST., 1978, pages 2659 - 2662
ANOMYMOUS: "DEMADEX (torsemide) TABLETS", August 2012 (2012-08-01), internet, pages 1 - 13, XP055250151, Retrieved from the Internet <URL:http://www.accessdata.fda.gov/drugsatfda_docs/label/2012/020136s014lbl.pdf> [retrieved on 20160215] *
ANONYMOUS: "LISINOPRIL-PS tablets 2.5 mg, 5 mg, 10 mg, 20 mg.", May 2012 (2012-05-01), internet, pages 1 - 4, XP055250126, Retrieved from the Internet <URL:https://www.betterhealth.vic.gov.au/~/media/bhc/files/medicine%20guides%20library/10/cmi10360.pdf> [retrieved on 20160215] *
ANONYMOUS: "Package Leaflet: Information for the User Lisinopril 2", September 2014 (2014-09-01), internet, pages 1 - 7, XP055250130, Retrieved from the Internet <URL:https://www.medicines.org.uk/emc/PIL.31134.latest.pdf> [retrieved on 20160215] *

Also Published As

Publication number Publication date
SI3173075T1 (sl) 2019-02-28
DK3173075T3 (en) 2019-01-21
EP3173075B1 (fr) 2018-09-26
ES2703376T3 (es) 2019-03-08
PL3173075T3 (pl) 2019-04-30
LT3173075T (lt) 2019-01-10

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